Who was truly capable of experiencing pain? In this article, I explore ideas about the distribution of bodily sensitivity in patients from the early nineteenth century to 1965 in Anglo-American societies. While certain patients were regarded as “truly hurting,” other patients’ distress could be disparaged or not even registered as being “real pain.” Such judgments had major effects on regimes of pain-alleviation. Indeed, it took until the late twentieth century for the routine underestimation of the sufferings of certain groups of (...) people to be deemed scandalous. Often the categorizations were contradictory. For instance, the humble status of workers and immigrants meant that they were said to be insensitive to noxious stimuli; the profound inferiority of these same patients meant that they were especially likely to respond with “exaggerated” sensitivity. How did physicians hold such positions simultaneously? Pain-assignation claimed to be based on natural hierarchical schemas, but the great Chain of Feeling was more fluid than it seemed. (shrink)

Although bedbug infestation is not a new public health problem, it is one that is becoming more alarming among healthcare professionals, public health officials, and ethicists given the magnitude of patients who may be denied treatment, or who are unable to access treatment, especially those underserved populations living in low income housing. Efforts to quarantine and eradicate Cimicidae have been and should be made, but such efforts require costly interventions. The alternative, however, can further exacerbate the already growing problems of (...) injustice, i.e., unfair treatment of patients, inaccessibility of needed resources. In the following paper, I examine the ramifications of denying access to medical care, among other healthcare justice dilemmas surrounding bedbug infestations. I also explore the value of health, and how healthcare professionals and public officials often feel as though bedbugs are not a priority because they, themselves, are not diseases, regardless of the fact they cause physical and mental problems that affect a person’s health. I propose recommendations for improving the health and well-being of those vulnerable populations who are facing a difficult and growing public health problem that is currently being ignored in medical and public health ethics literature, regardless of increased media attention and unusual habitats of localized infestations, e.g., Statue of Liberty, New York City. (shrink)

Abstract Recently, some philosophers of psychiatry (viz., Rachel Cooper and Dominic Murphy) have analyzed the issue of psychiatric classification. This paper expands upon these analyses and seeks to demonstrate that a consideration of the history of the Diagnostic and Statistical Manual of Mental Disorders (DSM) can provide a rich and informative philosophical perspective for critically examining the issue of psychiatric classification. This case is intended to demonstrate the importance of history for philosophy of psychiatry, and more generally, the potential benefits (...) of historically-informed approaches to philosophy of science. (shrink)

Xenotransplantation, or the use of animal cells, tissues and organs for humans, has been promoted as an important solution to the worldwide shortage of organs. While scientific studies continue to be done to address problems of rejection and the possibility of animal-to-human virus transfer, socio-ethical and legal questions have also been raised around informed consent, life-long monitoring, animal welfare and animal rights, and appropriate regulatory practices. Many calls have also been made to consult publics before policy decisions are made. This (...) paper describes the Canadian public consultation process on xenotransplantation carried out by the Canadian Public Health Association in an arm’s length process from Health Canada, the ministry overseeing government health policy and regulation. Focusing on six citizen fora conducted around the country patterned after the citizen jury deliberative approach, the paper describes the citizen panelists’ recommendations to hold off on proceeding with clinical trials and the rationales behind this recommendation. The consultation process is discussed in the context of constructive technology assessment, a framework which argues for broader input into earlier stages of technology innovation, particularly at the technology design stage. (shrink)

This article argues that the English-language nonsense words “foo,” “bar,” “baz,” and others in a more or less standardized sequence of so-called metasyntactic variables commonly used in computer programming ought to be understood as meta-abstractive, re-representing a linguistically derived code’s abstraction of language and the abstraction of the programming language hierarchy itself, making it legible in a manner that rewards culturally oriented study: for example, of programming as a culture and of cultures of software development or engineering.

North American archaeologists have long defined their ethical responsibilities in terms of a commitment to scientific goals and an opposition to looting, vandalism, the commercial trade in antiquities, and other activities that threaten archaeological resources. In recent years, the clarity of these commitments has been eroded from two directions: professional archaeologists find commercial entanglements increasingly unavoidable, and a number of nonarchaeological interest groups object that they are not served by scientific exploitation of the record. I offer an analysis of issues (...) having to do with the identity of archaeology that underlie this debate and outline one strategy of response now emerging. (shrink)

Adam Smith is usually thought to argue that the result of everyone pursuing their own interests will be the maximization of the interests of society. The invisible hand of the free market will transform the individual''s pursuit of gain into the general utility of society. This is the invisible hand argument.Many people, although Smith did not, draw a moral corollary from this argument, and use it to defend the moral acceptability of pursuing one''s own self-interest.

In her 2018 book, What the Eyes Don’t See, Dr. Mona Hanna-Attisha wrote that it is the duty of doctors to speak out against injustice. In fact, no other physician or institution in Flint had done the research and spoken out, as a whistleblower, against the poisoning of Flint’s children by Michigan government. Why had Dr. Hannah-Attisha? Unfortunately, in the absence of a medical education system that teaches community-oriented primary health care in the tradition of the 1978 Alma Ata Declaration, (...) there is little reward in doing so. This article focuses on three movements that are challenging medical education orthodoxy: 1) primary health care 2) the medical humanities and 3) “Study Up your Town” medicine. How can we create a radical health pedagogy – one that draws the links between several pandemics raging across the planet: capitalist collapse, climate disruption, Covid-19, racism, and an emergent neoliberal fascism – to enable doctors, health professionals and citizens to see them as all of one piece? Medical educators must employ critical pedagogy to create legions of “constructive troublemakers” who challenge the social-structural obstacles that are driving millions to premature death. We have reached the “end times.” A new “planet medicine” is finally emerging. (shrink)

The Mathematical Intelligencer recently published a note by Y. Sergeyev that challenges both mathematics and intelligence. We examine Sergeyev’s claims concerning his purported Infinity computer. We compare his grossone system with the classical Levi-Civita fields and with the hyperreal framework of A. Robinson, and analyze the related algorithmic issues inevitably arising in any genuine computer implementation. We show that Sergeyev’s grossone system is unnecessary and vague, and that whatever consistent subsystem could be salvaged is subsumed entirely within a stronger and (...) clearer system. Lou Kauffman, who published an article on a grossone, places it squarely outside the historical panorama of ideas dealing with infinity and infinitesimals. (shrink)

Here we reconsider teachers’ changing subjectivities as autonomous agents whose practices acknowledge risk as an essential element in intellectual inquiry. We seek alternative descriptions to the limiting language of teachers’ current practices within the primacy of the market. We are convinced by Levinas’s claim that ethics is the first philosophy with its concomitant responsibility for the Other. This provides a valuable point of departure and our understanding of its relevance is expanded by Biesta and Todd. This perspective allows interruption of (...) the global reform ensemble with its reductionist understandings of teachers’ subjectivities within concerns for a ‘visible pedagogy’ and performativity. We illustrate how this global policy imperative is reworked in policies in the Republic of Ireland and share reflexive insights from our tutoring of teachers studying for a Master’s degree in Education. We show that teachers’ autonomy, which we understand as the capacity of teachers to facilitate risk and make ethically informed local judgements, is severely restricted by imposed standards, codes and laws to which there is tightly policed adherence. Instead we describe teachers’ practices occurring within an Invisible Pedagogy, which is not concerned with totalising and limited performativity but instead, explores risks associated with existential possibilities beyond commodification. (shrink)

In an intensifying climate of scrutiny over food safety, the food industry is turning to “food safety culture” as a one-size-fits-all solution to protect both consumers and companies. This strategy focuses on changing employee behavior from farm to fork to fit a universal model of bureaucratic control; the goal is system-wide cultural transformation in the name of combatting foodborne illness. Through grounded fieldwork centered on the case of a regional wholesale produce market in California, we examine the consequences of this (...) bureaucratization of food safety power on the everyday routines and lived experiences of people working to grow, pack, and deliver fresh produce. We find that despite rhetoric promising a rational and universal answer to food safety, fear and frustration over pervasive uncertainty and legal threats can produce cynicism, distrust, and fragmentation among agrifood actors. Furthermore, under the cover of its public health mission to prevent foodborne illness, food safety culture exerts a new moral economy that sorts companies and employees into categories of ‘good’ and ‘bad’ according to an abstracted calculation of ‘riskiness’ along a scale from safe to dangerous. We raise the concern that ‘safety’ is usurping other deeply held values and excluding cultural forms and experiential knowledges associated with long-standing food-ways. The long-term danger, we conclude, is that this uniform and myopic response to real risks of foodborne illness will not lead to a holistically healthy or sustainable agrifood system, but rather perpetuate a spiraling cycle of crisis and reform that carries a very real human toll. (shrink)

Whilst Kolbe and de Melo-Martin (2023) appropriately identify a range of concerns about the validity of existing instruments to measure moral distress, one additional limitation that the authors di...

The contents of the British Ornithologists' Union's journal, "The Ibis," during the first half of the 20th century illustrates some of the transformations that have taken place in the naturalist tradition. Although later generations of ornithologists described these changes as logical and progressive, their historical narratives had more to do with legitimizing the infiltration of the priorities of evolutionary theory, ecology, and ethology than analyzing the legacy of the naturalist tradition on its own terms. Despite ornithologists' claim that the journal's (...) increasing focus on "biology" represented a natural development after the preliminary phase of systematics and geographical ornithology, in fact a small group campaigned to bring the priorities of population ecology, behavior, and selection theory into the journal and British ornithology more generally. The problems involved in this transition highlight the importance of methodological and institutional context in determining and reinforcing appropriate research programs for ornithologists. Comparing the discipline-building rhetoric of moderns with the contents of the past illustrates how modern evaluations of 19th century research programs have been enmeshed in ornithologists' endeavors to forge new identities for traditional disciplines. (shrink)

The contents of the British Ornithologists' Union's journal, "The Ibis," during the first half of the 20th century illustrates some of the transformations that have taken place in the naturalist tradition. Although later generations of ornithologists described these changes as logical and progressive, their historical narratives had more to do with legitimizing the infiltration of the priorities of evolutionary theory, ecology, and ethology than analyzing the legacy of the naturalist tradition on its own terms. Despite ornithologists' claim that the journal's (...) increasing focus on "biology" represented a natural development after the preliminary phase of systematics and geographical ornithology, in fact a small group campaigned to bring the priorities of population ecology, behavior, and selection theory into the journal and British ornithology more generally. The problems involved in this transition highlight the importance of methodological and institutional context in determining and reinforcing appropriate research programs for ornithologists. Comparing the discipline-building rhetoric of moderns with the contents of the past illustrates how modern evaluations of 19th century research programs have been enmeshed in ornithologists' endeavors to forge new identities for traditional disciplines. (shrink)

The 1988 publication of the report of the Cartwright Inquiry and acceptance of its recommendations by the New Zealand Government initiated comprehensive and internationally important reform of bioethics and patients’ rights. However, recent writing about the legacy of the inquiry has challenged the legitimacy of the inquiry and contributed to a climate questioning the value of the ethical reforms initiated by it. This article describes unsuccessful attempts to correct factual errors in one publication criticizing the inquiry. These attempts at correction (...) raise ethical issues about the dissemination of the products of medical research—in particular, about the place of research subjects in post-publication ethical deliberations and the responsibility of universities and publishers in decision-making, especially in relation to the correction of error in academic publications. (shrink)

We track and analyze the re-situation of scientific knowledge in the field of human population genomics ancestry studies. We understand re-situation as a process of accommodating the direct or indirect transfer of objects of knowledge from one site/situation to other sites/situations. Our take on the concept borrows from Mary S. Morgan’s work on facts traveling while expanding it to include other objects of knowledge such as models, data, software, findings, and visualizations. We structure a specific case study by tracking the (...) re-situation of these objects between three research projects studying human population diversity reported in three articles in Science, Genome Research and PLoS Genetics between 2002 and 2005. We characterize these three engagements as a unit of analysis, a “skirmish,” in order to compare: the divergence of interests in how life-scientists answer similar research questions and to track the challenging transformation of workflows in research laboratories as these scientific objects are re-situated individually or in bundles. Our analysis of the case study shows that an accurate understanding of re-situation requires tracking the whole bundle of objects in a project because they interact in particular key ways. The absence or dismissal of these interactions opens the door to unforeseen trade-offs, misunderstandings and misrepresentations about research design and workflow and what these say about the questions asked and the findings produced. (shrink)

In this paper I discuss a cardboard dissected globe made in 1813 by Edward Mogg, a cartographer and map seller, to instruct children in the principles of astronomy. Since little is known about the maker or the specific object, I draw on evidence beyond the sphere itself to construct an account of how the object might have been used. In particular I address conversation as a key part of astronomical education and examine the way in which the cardboard plates of (...) the sphere, the presentation slipcase and the accompanying booklet would have prepared young learners for polite astronomical discourse around large instruments in later life.Keywords: Dissected globe; Edward Mogg; Educational toys; Astronomy; Conversation. (shrink)

In spite of having published more than hundred articles and three monographs, the chemist and statistician Alfred James Lotka (1880–1949) is not very well known. Because he had not experienced a conventional academic curriculum, he remained ‚at the margins’ of the scientific community. In 1925 he aimed for a breakthrough with his first monograph Elements of Physical Biology. The basic idea of this study was to understand nature in terms of energy. Lotka’s mathematical approach was highly innovative, although he had (...) borrowed certain notions from his former teacher, the physical chemist Wilhelm Ostwald. This article focuses on the very process of how a new idea developed and spread through the scientific community, and tries to determine to what extent the author—with his personality, his intentions and feelings—was part of this process. This includes looking at the emotional strain that followed the publication of Lotka’s masterpiece. Considering his anxieties, worries and distress during the period of reception, and his efforts to make sure his book was acknowledged by its audience, the article sheds light on often neglected aspects of scientific work such as identification, intention, mimicry, originality, and rivalry. The case study deals with a systematic blindness in the history of science: it takes into account the actors of science, their personality and their strategic moves, in order to come to a better understanding of the close connection between their work and their actions. In addition, the history of Lotka’s worries about the reception of his book might help us challenge the postulate of „publish or perish“ in today’s science. (shrink)

Dewey emphasizes the perception of “indirect consequences” of transactions as the basis of responsible public identity and organization. These consequences are external; they appear in the scientifically observable world and are susceptible to technical control. But transactions may have indirect affective consequences that are part of a culturally influenced inner reality, pose obstacles to speech and communication, and fund an irresponsible public identity-cum-organization. Rhetorical theory that builds on Dewey's “public” ignores these consequences at considerable cost. This claim is supported by (...) a social psychoanalytic conception of affects and by an interpretive-analysis of public speech-acts that moved from opposition to the largely unauthorized immigration of Latin Americans to Nashville-Davidson County, Tennessee, to reactionary endorsement and legislative passage of an “English-first” ordinance. (shrink)

The ability to group perceptual objects into functionally relevant categories is vital to our comprehension of the world. Such categorisation aids in how we search for objects in familiar scenes and how we identify an object and its likely uses despite never having seen that specific object before. The systems that mediate this process are only now coming to be understood through considerable research efforts combining neurological, psychological and behavioural studies. What is much less well understood are the differences between (...) the categories, how they are formed and how they are used by experts and non-experts in a complex task that can take decades to master. In a quite different direction to previous studies, this work infers the different categorical structures that might be used by amateurs and professionals in the oriental game of Go. This is achieved by using a newly developed combination of artificial neural networks (Self-organising Maps) and perceptual inference to show that categories of strategic scenes can be learned while playing games using a model of ‘conditional perceptual learning’. Applying this technique to two databases of games, one of amateurs and one of professionals, shows that a structural hierarchy of scene information develops that can be readily incorporated into traditional psychological models of decisions and readily implemented in computational systems. The results are discussed in terms of the heuristics and biases literature, emphasising where the significant similarities and differences lie between this work and previous work. (shrink)

Consistent with the idea that business ethics is a form of applied ethics, many virtue ethicists make use of an extant (pure) moral philosophy framework, namely, one developed by Alasdair MacIntyre. In doing so, these authors have refined MacIntyre’s work, but have never really challenged it. In here questioning, and developing an alternative to, the MacIntyrean orthdoxy, I illustrate the merit of business ethicists adopting a broader philosophical perspective focused on constructing (new) theory. More specifically—and in referring to action sports (...) (e.g., mountain biking, snowboarding)—I propose that an external good motive is not only much more consistent with virtuous practical excellence than MacIntyreans acknowledge, but that such a motive is fundamental to identifying and explaining how practices can be deliberately created (by businesses). Consequently, and in stark contrast with MacIntyre’s deeply pessimistic outlook on modern business and society, I propose that those who value practices might celebrate our current era. (shrink)

This article argues that the English-language nonsense words “foo,” “bar,” “baz,” and others in a more or less standardized sequence of so-called metasyntactic variables commonly used in computer programming ought to be understood as meta-abstractive, re-representing a linguistically derived code’s abstraction of language and the abstraction of the programming language hierarchy itself, making it legible in a manner that rewards culturally oriented study: for example, of programming as a culture and of cultures of software development or engineering.

Over the COVID-19 period, much attention has been paid to the governance relationship between citizens and the state. In this article, however, we focus on a feature that is less evident in the day-to-day living of the social contract: the relationship between citizens. Because this horizontal cohesion is critical to the social contract, we suggest that it should not be neglected, even amid a deepening crisis of state–citizen relations. Using the case of South Africa's vaccine roll-out as an illustration, we (...) argue that certain kinds of state failures – failures in making complex fairness decisions, in treating citizens as equals when enacting these decisions, and in providing public justification for these decisions – risk dual damage to both citizen–state and citizen–citizen relations and so undermine an already fragile social contract. (shrink)

An anthropologist describes how he found himself at the vortex of a “clash of medical civilizations:” neoliberalism and the international primary health care movement. His involvement in a $6 million social change initiative in medical education became a basis to unlock the hidden tensions, contradictions and movements within the “primary care” phenomenon. The essay is structured on five ethnographic stories, situated on a continuum from “natural” species-level primary care to “unnatural” neoliberal primary care. Food is an element of all tales. (...) Taking the long view of history/prehistory permits us to better recognize ideological distortions in order to more capably transform medicine. (shrink)

This article argues that the English-language nonsense words “foo,” “bar,” “baz,” and others in a more or less standardized sequence of so-called metasyntactic variables commonly used in computer programming ought to be understood as meta-abstractive, re-representing a linguistically derived code’s abstraction of language and the abstraction of the programming language hierarchy itself, making it legible in a manner that rewards culturally oriented study: for example, of programming as a culture and of cultures of software development or engineering.

Im Mittelpunkt des Beitrages steht die »Psychotherapie-Richtlinie«, die die Anwendung der Psychoanalyse im Rahmen der Krankenversicherung reguliert. Der Beitrag beginnt mit einer Erörterung des Verhältnisses von Psychoanalyse und Krankenbehandlung, um anschließend die Entstehungsgeschichte der »Richtlinie« und ihren Kompromisscharakter darzulegen. Danach werden einzelne Bestandteile des Regelwerks diskutiert und der theoretische Hintergrund des Richtlinien-Systems beleuchtet. Im letzten Teil plädiert der Autor für grundlegende Veränderungen.

This paper deals in detail with a fairly recent philosophical debate centered around the ability of the theory of natural selection to account for those phenotypical changes which can be argued to make organisms better adapted to their environments. The philosopher and cognitive scientist Jerry Fodor started the debate by claiming that natural selection cannot do the job. He follows two main lines of argumentation. One is based on an alleged conceptual defect in the theory, the other on alleged empirical (...) problems in it as well as empirical alternatives to it. Four philosophers and two biologists respond in a way that displays what might easily be described as fallacious. The paper relies on the ideal model of critical discussion of pragma-dialectics to offer a step-by-step analysis of the whole debate, which extended for four issues of the _London Review of Books_, from October 2007 through January 2008. This pragma-dialectical analysis is carried out by constant reference to the various questions (problems, issues) that arise in the debate. The analysis includes as much detail as possible both in Fodor’s original argument and in the critics’ various comments as well as Fodor’s replies along two rounds of debate. Since a simple negative evaluation in terms of fallacies is out of the question in view of the proved argumentative accomplishments of the participants, an alternative explanation is offered: the undeniable derailments in strategic maneuvering are due to the fact that, whilst ostensibly discussing the theory of natural selection, Fodor’s detractors are worried by an underlying issue, namely, the dangers of discussing the merits and demerits of natural selection as a theory of evolution in a venue as exposed to the general public as the _London Review of Books_, given the religiously inspired movements that threaten the teaching of evolutionary biology in schools. (shrink)

In clinical lectures given between 1850 and 1852, William Pultney Alison, a senior Edinburgh physician, reflected on whether therapeutic bloodletting could be useful in some cases of pneumonia but harmful in others. If so, Alison reasoned, a change in the form of the disease—a change of type—could explain why therapeutic bloodletting had been nearly abandoned in treating a disease for which, only a few years earlier, it had been the standard therapy. In response, a young pathologist, John Hughes Bennett, denied (...) that anything like a change of type had occurred and insisted that bloodletting had never been an effective therapy. Over the next two decades, more than forty physicians debated the usefulness of bloodletting and the reasons for its decline. This debate, known as the Edinburgh Bloodletting Controversy, has attracted the attention of contemporary historians. Those who have discussed the debate side with Bennett and give Alison little serious attention. I argue that by examining the texts to determine what the issues really were, we can see that Alison may actually have been right. Moreover, this examination illuminates the practice of bloodletting and reveals one hitherto unrecognized factor that contributed to its decline. (shrink)

In September 2000, the self-styled “anthropological journalist” Patrick Tierney began to make public his work claiming that the Yanomamö people of South America had been actively—indeed brutally—harmed by the sociobiological anthropologist Napoleon Chagnon and the geneticist-physician James Neel. Following a florid summary of Tierney’s claims by the anthropologists Terence Turner and Leslie Sponsel, the American Anthropological Association (AAA) saw fit to take Tierney’s claims seriously by conducting a major investigation into the matter. This paper focuses on the AAA’s problematic actions (...) in this case but also provides previously unpublished information on Tierney’s falsehoods. The work presented is based on a year of research by a historian of medicine and science. The author intends the work to function as a cautionary tale to scholarly associations, which have the challenging duty of protecting scholarship and scholars from baseless and sensationalistic charges in the era of the Internet and twenty-four-hour news cycles. (shrink)

Science is a global phenomenon that knows no frontiers. But in the real world, production and efficient utilization of scientific knowledge are highly concentrated in a few countries. A large majority of countries—those on the periphery, contribute precious little to the growth of scientific knowledge. Indeed, the distribution of science is even more skewed than is the distribution of wealth among nations. As a result, peripheral countries are left out of the intellectual discourse that is at the very foundation of (...) the knowledge enterprise. The extent of this skewness and the relative neglect of the perihpery can be seen in some quantitative form from publication and citation data. However, while it may be true that mainstream science has not greatly benefitted from the efforts of the periphery, scientifically advanced societies are certainly benefitting from the traditional medical and agricultural knowledge base of the peripheral societies. Countless numbers of plants used in the traditional medical systems of India, China, Africa and Latin America are being drafted into the western system of medicine. A number of multinationals are learning from folk medicine and are gathering tons of plant material from these regions for the manufacture of modern medicine. Ironically, very little transfer of knowledge from ancient to modern systems takes place in the pheripheral countries themselves. Even when it does occur, it does not result in the manufacture and marketing of products for profit. (shrink)